Category Archives: Medicare/Medicaid

Tougher Penalties for Medicare Scammers

By Mary Jane Stern During July 2010 Attorney General Eric Holder and Health and Human Services Secretary Kathleen Seblius made South Florida their first stop of a seven city itinerary for Regional Healthcare Fraud Prevention Summits as part of the Obama Administration's effort to crack down on health care fraud. A recent study reported South…
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What is a Medicare Part B Excess Charge?

by Mary Jane Stern Many people struggle trying to understand what a Medicare Part B Excess charge is.  I know I did initially. It’s an additional charge a physician or other healthcare provider can charge. There are many doctors and facilities who accept the Medicare allowed charge.  However, there are also doctors and other healthcare…
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Medicare Advantage Plans Offer SilverSneakers Fitness Program

Some of the Medicare Advantage plans have a really great benefit offering the SilverSneakers Fitness Program. What is SilverSneakers? SilverSneakers is a fitness program for Medicare Advantage members offering programs that encourage older adults and seniors to become involved in physical activity and at the same time offers a social activity. (more…)
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Medicare Part D 2010 – Closing the “Donut Hole”

With the recent passage of The Affordable Care Act passed by Congress and Signed by President Obama in 2010, one of the new benefits for Medicare Part D beneficiaries will be more affordable prescription drugs and over the next 10 years the bill closes the “donut hole.” As I have said before Medicare Part D…
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How to Prevent Medicare from Disallowing a Diagnostic Test

Have you been prescribed a diagnostic test and found out that Medicare disallowed the test and the laboratory is holding you responsible for payment? Do you know how to prevent this from happening again? What Medicare Pays Part A covers the cost of inpatient laboratory services when you are admitted to the hospital and the…
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Keep Your Medicare Card Safe

by Mary Jane Stern Did you know that one of the easiest ways for your identity to be stolen is if you lose your Medicare card? Everyone receives their Medicare card when they turn 65 years old.  But, your Medicare number is tied directly to your social security number – something identity thieves just love.…
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Medicare Fraud Can Lead To Identity Theft

by Mary Jane Stern Medicare recently redesigned their website (www.medicare.gov) and there are a lot of new and interesting areas to explore.  One that caught my eye was to a government website about Medicare fraud (www.stopmedicarefraud.gov). Because of the confusion with Health Care Reform, there were various scammers out-and-about and one in particular dealt with…
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How To Report Medicare Fraud

by Mary Jane Stern Do you suspect Medicare fraud?  Are you reluctant to report it?  Reporting any type of fraud helps protect yourself, Medicare and millions of others who might be a potential victim. Every Medicare beneficiary receives a payment notice from Medicare. It’s called the Medicare Summary Notice (MSN).  Take a few minutes to…
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Do You Know How to Spot Medicare Fraud

by Mary Jane Stern Protecting yourself from Medicare fraud is the first thing you need to do.  But learning how to identify or spot fraud is equally important. During 2009 the Department of Justice recovered nearly a billion dollars in health care fraud.  Plus they recorded 300 convictions.  Look at what they are currently pursing…
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June 1, 2010 New Medicare Supplements (Medigap)

by Mary Jane Stern Are you turning 65 in 2010?  If so, you are now eligible for Medicare. You might be starting out looking for information for the type of coverage you need.  Or, perhaps you have decided to enroll in Original Medicare with a Medicare Supplement (Medigap) Plan. About Medigap Plans The first thing…
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